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Reports on the clinicalefficacy of topical NSAIDs are also variable.Better responses have generally been obtainedin short lasting musculoskeletal pain. Also, on examination, there is mediastinal shifting with stony dullness on theaffected side.
Most patients will report thatthey cannot feel or can just barely feel the needle’s insertion, and onceinserted, they feel nothing other than possibly a slight sense of warmth,ache, or vibration. The diagnostic yieldof BAL depends on previous anti-infective treat-ment, type of infection, and delay of BAL fromonset of disease, varying between 30 and 70 %in various studies (Forslow et al.
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